All states › Ohio › Wooster › Smithville Western Care Center
4110 East Smithville Western Road Wooster, OH 44691 · Wayne County
All 7 nursing homes in Wooster, OH (6 take Medicaid)
CMS certification number 365317 · See this home on Medicare Care Compare
Is Smithville Western Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Smithville Western Care Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Ohio average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.36 hours per resident per day at Smithville Western Care Center, below the Ohio median of 3.58 (US median: 3.72). About 0.50 of those hours are from registered nurses. On weekends it falls to 2.97 hours, 12% below its all-week average. 43.4% of nursing staff left within a year (Ohio median 48.9%).
About this nursing home
Paying for care at Smithville Western Care Center: Medicare and Medicaid
Smithville Western Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Ohio's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 2, 2024 and found 11 deficiencies, plus 2 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 40 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 40 citations at Smithville Western Care Center across 9 inspection dates, 12 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 31, 2024 (complaint inspection). The most common areas cited were resident rights (10) and nutrition and dietary (7). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, October 31, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
August 7, 2026 · 2 citations · includes complaint inspection
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DProvide and implement an infection prevention and control program.
April 28, 2025 · 2 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
January 15, 2025 · 3 citations · includes complaint inspection
DEnsure that residents are fully informed and understand their health status, care and treatments.
DKeep residents' personal and medical records private and confidential.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
October 31, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure that the resident and his/her doctor meet face-to-face at all required visits.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
July 2, 2024 · 11 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 11, 2024 · 1 citation · includes complaint inspection
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
February 8, 2024 · 1 citation · includes complaint inspection
DEnsure each resident receives an accurate assessment.
March 24, 2022 · 8 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
DProvide and implement an infection prevention and control program.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
April 18, 2019 · 9 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
Questions to ask on a tour of Smithville Western Care Center
- Inspectors cited the home at the immediate-jeopardy level on October 31, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 18, 2019. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $42,777 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 31, 2024 | Fine | $42,777 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 3/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 4/5 | 4/5 |
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Location
Hospitals near Smithville Western Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.1 mi
Wooster Community Hospital WoosterEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 46m for patients treated and sent home
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7.2 mi
Aultman Orrville Hospital OrrvilleEmergency roomMedian ER visit 1h 59m for patients treated and sent home
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13.7 mi
Lodi Community Hospital LodiEmergency roomMedian ER visit 2h 20m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Smithville Western Care Center › All nursing homes in Wooster ›
Compare Smithville Western Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Wooster Community Hospital SNF · Wooster · 5 stars · 3.2 mi
- Wayne County Care Center · Wooster · 5 stars · 4.9 mi
- Apostolic Christian Home · Rittman · 5 stars · 7.7 mi
- West View Healthy Living · Wooster · 4 stars · 4.4 mi
Other Sprenger Health Care Systems nursing homes in Ohio
- Village of the Falls · Olmsted Falls · 5 stars
- Elms Retirement Village · Wellington · 5 stars
- Heather Knoll Retirement Village · Tallmadge · 5 stars
- Autumn Aegis Nursing Home · Lorain · 4 stars
- Rose Lane Nursing and Rehabilitation · Massillon · 4 stars
- Main Street Care Center · Avon Lake · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 12 Sprenger Health Care Systems nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.